NCG200353_Contact Corrections_20190621

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Surnmary
NCJ)E.All,rt Iniq tjje. frrllntvintl ronttiCii rinationinour P itol-y(ju
or�.qi]6/7019,
Permit Number: NCC-200353
permit Type: 0' " , I ,1le
'6 , �--T
Facility Name: gimallsnsrcol�.
Facility Addressi; -L4zUijiIII-5t
Facility Address2;
City, State & Zip;
Owner Iff.2rmatIqap&pjtt,
Owner Name: OrIDkiLIU—rce WC
Owner Type; Owner Type Group. Pfg�-nlzaLLion
Owner Affiliation: 5MU-42t Title:
Addressi: '1S75 ILI ly Av ,ffqfVa) Bf
Address2.,
City, State is Zip:
Work Phone-. Fax:
Entail Address: scoti.gibble@orlln!SOL)rCe.CoilI
eiit Al Fi6tufim �c'�
** 0rnAnnual 777777
Billing Month: imltrary
Lum �,mker h2mg1cm Date
.1
hwokgjq.q iftyqigq
Ana unY
2016PRO11200 12/612016
1/5/2017
$1 MOD Overdue
,-
0wnerCont6ct,P,jls6t (s)Contact
Name Ilie
A44 "(q
----------------------------
phoq3 F�
9MI-aii
Jimes Winegar
2233 Wal-Pat Rd, Smithfield, NC 27577
919-989-3102 919-989.3462
urc
Facility ContactPel.soli
9Wt9qAA= Elk
Address
PholIq Fax
L I A ILI
.309-1 W; 1.1wil 1
1426 W Mountain St, Kernersville, NC
336-996-2350
Ryan Younts
27284
Perrait Ccintact Per'sion(s)
C2alwIN-ame 11tiq
AddressPhone
(see James Winegar below
9UH109LNam T-1 "k AddM-rl Phong
r. —EUI.Pjj
James wiflegA-r 2233 Wal-Pal, Rd, Smithfield, K 27577 919-989-3102 919-989-3162 j-,11)1as.Winegar@oiiiiiisourc(,,,corii
5/1612019 V09L I